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The women undergo the gruesome procedure, and Heiter achieves his grotesque goal. The centipede, consisting of Lindsay, Jenny, and a third person, Heiter's former assistant who died, is now complete.
The story then shifts to two American tourists, Lindsay (played by Ashlynn Yennie) and Jenny (played by Ashlynn's real-life friend, Jenny Wrenn), who are traveling through Germany. After visiting a rural area, they decide to take a wrong turn, which leads them to Heiter's remote farmhouse.